Industrial Application Form

Consultant name

Personal details

Where did you hear about the role?

Please select...

Title

First name

Surname

Date of Birth

Mobile

Landline Optional

Address line 1 - house number and street name

Address line 2

Town/City

County

Country

Postcode

What are your current methods of transport?

Enter tag

Emergency Contact

Name

Tel

Relationship

Nationality

Please select...

Passport Number

Passport Expiry

Do you have a full UK driving licence?

Medical Conditions

Do you have any medical conditions?

Documents

Uploading documents can help support your application. Here are some examples for proof of id.

CV

Upload a single image or document (file size up to 5 MB).

Choose file

Right to Work Document

Upload up a image or document (file size up to 5 MB).

Choose file

Bank details

Name of Account Holder

Account number

Sort code

National Insurance number

ID Card

Are you entitled by law to work in the UK?

Do you have any physical or mental condition, which would require special arrangements for your interview appointment or adjustments to the job you are applying for?

Have you ever been convicted of a criminal offence, other than a spent conviction under the Rehabilitation of Offenders Act 1974?

Education

Have you been in education in the last 2 years

Employment History

On the following page, please provide details of ALL employment and any periods of unemployment since leaving school, beginning with your present or most recent job first. Please use continuation sheet if necessary. Please also state any voluntary and community work experience with (VOL). Please note that any missing or undisclosed employment could result in the termination of your application and/or employment.

Please explain any gaps in your employment history.

Employment - 1

Company name

Job title

Date from

Date to

Reason for leaving

Duties

References

We require two professional references covering the last three years of your employment history as a minimum. At least one of the references must be your current or last employer. Please detail: contact name, contact number, full address and email address for each of your employers.

If you have had less than two employers you should give a character reference who must have known you for at least three years and is not a relative.

If you do not wish for your current employer to be contacted before induction please tick here (Please note we will require a reference from your most current employer before we can progress to induction)

Reference - 1

Name

Company

Job Title

Contact Number

Address

Health and Medical Questionnaire

These questions are vital to your safety and others working with you. Please ensure we know of any medical condition if different from below prior to employment. Failure to reveal relevant information may result in disciplinary action and / or dismissal. Your answers shall be treated in the strictest of confidence.

Eyesight and vision

Do you have any problems with your eyesight?

Do you need to wear spectacles or contact lenses for any activity?

Do you suffer from any problems with your eyesight that are not corrected by wearing the above?

Do you suffer from colour blindness?

Do you experience any difficulty in differentiating colours?

Have you ever had an eye operation?

Have you ever had a retina scan?

Heart and Lungs

Have you ever suffered from high blood pressure?

Have you ever suffered from a stroke or heart attack?

Have you ever suffered from heart disease?

Have you ever suffered from angina?

Have you ever undergone heart surgery?

Have you ever suffered from asthma, bronchitis or similar?

Have you ever suffered from a disease not mentioned above?

Back

Have you ever suffered from sciatica?

Have you ever suffered from lumbago?

Have you ever suffered from a slipped disc?

Have you ever suffered from a prolapsed disc?

Have you ever experienced any other form of back problem?

Dexterity

Have you ever suffered from arthritis?

Have you ever suffered from any other form or inflammation?

Have you ever suffered from repetitive strain injury?

Have you ever suffered from white finger or Carpel Tunnel Syndrome?

Have you any restrictions to the mobility of your arms, hands or fingers?

Do you suffer from any restrictions to your general mobility?

Have you ever been disqualified from driving due to ill-health?

Are you registered disabled?

General

Have you ever suffered a serious head injury?

Have you ever suffered from any nervous disorders?

Have you ever suffered from depression?

Have you ever suffered from alcohol or drug addiction?

Do you suffer from diabetes?

Have you ever suffered from epilepsy?

Do you suffer full or partial deafness in either ear?

Have you ever become sensitized to any chemical substances at work?

Have you ever had an accident at work that has resulted in injury to yourself?

Have you ever had an injury to your fingers, hands, wrist, elbow or arm?

Have you ever had an operation on any part of your hand or arm or undergone injections to your wrist?

Are there any other medical related matters that we need to be made aware of?

I understand and agree that the information given on this medical questionnaire can be viewed by any third party client of Pin Point Recruitment

Equal Opportunities Monitoring

Do you have any disabilities?

Ethnic origin

Please select...

Team Lifting

This information sheet contains some basic rules for safe lifting that if followed will protect you from injury and harm. each year most common industrial injury is caused by lifting. Follow the rules and always remember, what ever the deadline, put your own safety first!

Never lift more than you can manage. if you are struggling, stop immediatley!
Check for nails, splinters or sharp objects.
Follow thse simple rules:
1. Keep your back straight, feet apart.
2. Look straight ahead
3. Bend your knees
4. Lift

Make sure you have a clear view of where you are going.
Communicate and listen for instructions.
Follow the lifting rules.
If you are struggling. speak up.
Make sure that you lift and lower at the same time!

Remember the rules, safety first. You only get one chance!

I have read and understand the basic rules for safe lifting

Working Time Directive

Definitions
In this agreement the following definitions apply:
Assignment – means the period during which the Temporary Worker is supplied to render services to the client.
Client – means the person, firm or corporate body requiring the services of the temporary worker.
Employment Business – means Pin Point Recruitment.
Temporary Worker - .
1. References to the singular include the plural and references to the masculine include the feminine vice versa.
2. The headings contained in this agreement are for convenience only and do not affect their interpretation
Restrictions
1. The Working Time Regulations 1998 provide that the Temporary Worker shall not work on an Assignment with the Client in excess of the Working Week unless he agrees in writing that this limit should not apply.
Consent
1. The Temporary Worker hereby agrees that the Working Week limit shall not apply to the Assignment
Withdrawal of Consent
1. The Temporary Worker may end this agreement by giving the Employment Business 4 weeks notice in writing
2. For the avoidance of doubt, any notice bringing this agreement to an end shall not be construed as termination by the Temporary Worker of an Assignment with a Client
3. Upon the expiry of the notice period set out in clause 4.1 the Working Week limit shall apply with immediate effect
The Law
1. These terms are governed by English Law and are subject to the exclusive jurisdiction of the English Courts

I have read and understand the working time directive

Criminal Record

The information you provide is NOT a short listing toll in the recruitment process

Do you hold a Criminal Records Bureau Disclosure?

The Rehabilitation of Offenders Act 1974 (Exceptions) order 1975 requires us to ask you for additional information as you may come into contact with either vulnerable adults or children in some of the opportunities we have at present. A criminal record check from the Criminal Records Bureau may be required where this type of work is sought.

Do you have any previous convictions, whether or not they are “spent” within the Act, Including any cautions, reprimands, final warning, bind-overs or any convictions from overseas?

Have you ever been convicted of a criminal offence which is not spent under the Rehabilitation of Offenders Act 1974?

Do you hold any form of current security clearance?

Declaration

I confirm that the information provided on this form and within my CV, if applicable, is both truthful and accurate. I have omitted no facts that could affect my future employment. I consent to any sensitive or personal data, disclosed as part of my application, being used in connection with the search for work, subject to the relevant Data Protection legislation

I will inform Pin Point immediately of any circumstances that may affect my work, such as changes to health, subsequent pending prosecutions or convictions, which may arise whilst I am registered for permanent or temporary work. I understand that Pin Point has the right to request a Criminal Records Bureau Disclosure where they consider it necessary and that any details from this, or any other police checks provided, may be forwarded to a potential employer.

Previous Employment Sheet

Who was your previous employer?

Was the job Temp or Perm?

Was the job with an agency?

How many temps were on site?

What was the pay rate? (£ per hour)

What was the shift pattern?

Privacy Notice

Introduction

We at Pin Point Recruitment are committed to protecting the privacy of our candidates, clients and users of our website. When you use Pin Point Recruitment you trust us with your information and we are committed to preserving that trust and providing a safe and secure user experience. We will ensure that the information you submit to us via our website or through any of our offices is only used for the purposes set out in this Data Privacy Notice.

The General Data Protection Regulation (GDPR) (Regulation (EU) 2016/679) replaces the Data Protection Regulation (Directive 95/46/EC) from 25 May 2018. The Regulation aims to harmonise data protection legislation across EU member states, enhancing privacy rights for individuals and providing a strict framework within which commercial organisations can legally operate. Even though the UK has expressed its intention to leave the EU in March 2019, the GDPR will be applicable in the UK from 25th May 2018

Your new rights under the GDPR are set out in this notice but will only apply once the GDPR becomes law on 25th May 2018.

Please read the following carefully to understand our views and practices regarding your personal data and how we will treat it.

Who controls your personal data?

The Data Controller is Pin Point Recruitment a company registered in the UK: Company Number 07601096
Address: Axwell House, Waterside Drive, Dunston, Gateshead, NE11 9HU
The Data Controller’s data protection representative is the Head Of IT.
You can contact them at IT@pin-point.co.uk
You can call them on 0191 261 5205
Pin Point Recruitment is registered as a Data Controller with the Information Commissioner’s Office Certificate Number Z7088630
Any reference to our Group means our subsidiaries, our ultimate holding company and its subsidiaries, our associated companies as defined in section 1159 of the UK Companies Act 2006 (our Group)

Who we are, what we do and how we get your data

Pin Point Recruitment is a recruitment agency and recruitment business as defined in the Employment Agencies Act 1973 (our business). We also provide training and consultancy services from time to time. We collect the personal data from the following types of people to allow us to undertake our business;

prospective and placed candidates for permanent or temporary roles;
prospective and live client contacts (including referee contacts provided by candidates);
supplier contacts to support our services;
employees, consultants, temporary workers and contractors;

You may have applied directly to us or we may have found your details from a jobs board or social networking site. We are able to process your data if we have a legal basis for doing so. There are six legal bases for processing data but we will rely on (1) your consent to send direct marketing messages about services other than our recruitment services, (2) that the processing is necessary for the performance of a contract with you, or (3) that we have a legitimate interest in processing your personal data.

We collect information about you to carry out our core business and ancillary activities.

Section 1

The data we collect and how we use it

This section applies to individuals wishing to use or using our Recruitment Services or looking for a role to work with us (‘a candidate’):

The personal data we collect or receive includes the following as applicable:

name
address
email and other contact details
date of birth
job history (including information relating to placements through us)
educational history, qualifications & skills
visa and other right to work or identity information
passport/Driving license
bank details
national insurance and tax (payroll) information
next of kin and family details
contact details of referees
personal information relating to hobbies, interests and pastimes
information contained in references and pre-employment checks from third parties
other sensitive personal information such as health records (see ‘sensitive personal data’ section below)
your marketing preferences

We may obtain your personal data from the following sources (please note that this list is not exhaustive):

you (e.g. a curriculum vitae, application or registration form)
a client
other candidates
online jobsites
marketing databases
the public domain
social media such as LinkedIn
at interview
conversations on the telephone or video conferencing (which may be recorded)
notes following a conversation or meeting
our websites and software applications

Where you are a Candidate and we have obtained your personal data from a third party such as an online job board, it is our policy to advise you of the source when we first communicate with you.

How we will use your personal data:

The processing of your personal information may include:

collecting and storing your personal data, whether in manual or electronic files
notifying you of potential roles or opportunities
assessing and reviewing your suitability for job roles
introducing and/or supplying you to actual or potential clients
liaising with awarding organisations and funding providers
CQC related enquiries and auditing requirements
engaging you for a role with us or with our clients, including any related administration e.g. timesheets and payroll
collating market or sector specific information and providing the same to our clients
sending information to third parties with whom we have or intend to enter into arrangements which are related to our recruitment services
providing information to regulatory authorities or statutory bodies, and our legal or other professional advisers including insurers
to market our recruitment services
retaining a record of our dealings
establishing quality, training and compliance with our obligations and best practice
for the purposes of backing up information on our computer systems

Why we process your personal data and our legal justification for doing so:

Our legal basis for the processing of personal data is our legitimate business interests, described in more detail below, although we will also rely on contract, legal obligation and consent for specific uses of data.

We will rely on contract if we are negotiating or have entered into a placement agreement with you or your organisation or any other contract to provide services to you or receive services from you or your organisation.

We will rely on legal obligation if we are legally required to hold information on to you to fulfil our legal obligations.

We will in some circumstances rely on consent for particular uses of your data and you will be asked for your express consent, if legally required. Examples of when consent may be the lawful basis for processing include permission to introduce you to a client (if you are a candidate).

On the 25th May 2018, Pin Point Recruitment are compliant with the General Data Protection Regulation (GDPR). You can find our full policies and procedures on our website at www.pin-point.co.uk OR www.pinpoint-training.net

I agree to the terms and conditions of this regulation.

On the 25th May 2018, Pin Point Recruitment will be compliant with the General Data Protection Regulation (GDPR). You can find our policies and procedures on our website www.pin-point.co.uk.By signing below, you agree to the terms and conditions of this regulation.

Please sign to confirm you have read and understood the contents of this form

Your signature

Pin Point Form Portal

Industrial Application Form

Personal details

Emergency Contact

Nationality

Medical Conditions

Documents

CV

Right to Work Document

Other Documents

Bank details

ID Card

Education

Employment History

Employment - 1

References

Reference - 1

Health and Medical Questionnaire

Eyesight and vision

Heart and Lungs

Back

Dexterity

General

Equal Opportunities Monitoring

Team Lifting

Working Time Directive

Definitions

Restrictions

Consent

Withdrawal of Consent

The Law

Criminal Record

Declaration

Previous Employment Sheet

Privacy Notice

Introduction

Who controls your personal data?

Who we are, what we do and how we get your data

Section 1

The data we collect and how we use it

The personal data we collect or receive includes the following as applicable:

We may obtain your personal data from the following sources (please note that this list is not exhaustive):

How we will use your personal data:

Why we process your personal data and our legal justification for doing so: